Puppy Raising Application Form

Early Alert Canines (EAC) greatly values the volunteers who participate in puppy raising to help train future service dogs. These compassionate individuals open their hearts and homes to provide a safe and loving environment for our young puppies. They receive comprehensive support and training from the EAC team, attending classes, public outings, and learning basic service dog obedience.

 By becoming a puppy raiser, you will have the opportunity to make a tremendous impact by raising a life-saving partner. To become a puppy raiser, you will be required to open your home to a puppy between the ages of 8 weeks and 18 months.

You will need to attend weekly training sessions at EAC, monthly public outings (in-person only), provide food and other supplies according to EAC guidelines, and dedicate time to train the puppy in basic obedience skills. You will also need to monitor the puppy during the day. The time commitment ranges between 4 and 18 months and EAC works around your schedule, allowing you to take breaks and vacations while someone else cares for the dog.

 Please note that applicants under the age of 18 will require a parent or legal guardian to fill out the application.

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First Name: *
Last Name: *
Street Address: *
Apartment or Unit #:
City: *
Zip Code: *
Cell phone: *
May we text you? *
Required
Work phone:
May we call you at work?
Email address:

*** NOTE: Early Alert Canines (EAC) rely on email to stay in touch with our puppy raisers. Please provide an email address you check regularly, and please be on the lookout for emails related to your application. ***
 *
Please select which program you are applying for: *
Were you referred by an employee, raiser or volunteer?
Are you 18 years old or older? *
Required
What type of residence do you live in? *
Do you own or rent? *
Required
If renting, are you allowed to have dogs?
How long have you lived at your current address? *
Where will the dog stay when no one is home? *
Required
What hours do you work?
How many hours would the dog be left home alone on a regular basis?

The puppy should not be left in a crate for any extended periods of time unless overnight. If more time is necessary due to your work schedule, arrangements will need to be made by you to see that the puppy has a scheduled hurry and exercise break. Remember also, the age of the puppy will play an important factor in determining the maximum time they can be left in the crate.
 *
Will the puppy be allowed to sleep in your bedroom? *
Required
Do you agree to keep the puppy in a kennel overnight or when left alone? *
Required
How do you plan to provide exercise for your puppy? *
Required
How do you plan to provide your puppy's need to go outside to eliminate? *
Required
What other animals reside in your home? *
Required
How many dogs reside in your home currently?

Do they get along with other animals?
Are the pets in your home up-to-date on required and recommended vaccinations? *
Required
Have they been spayed or neutered?
If dog(s), what is the breed and age?
Who will be the primary caretaker of the puppy? *
Please list all other people residing in the home. If a child, please list their age. *
Do all family members agree to attend to the needs and guidelines of the program?
Have you ever raised a puppy or been involved with another service dog organization or other related organization? This includes humane societies, rescue groups, obedience class, etc. *
Required
Please list each agency
What experience have you had with dogs? *
How would a puppy fit into your budget? (Although EAC pays for dog supplies and veterinary expenses, if you are able to help it is greatly appreciated. *
Required
Do you have a current vet that you use? *
Required
How much time would you be able to devote to exposing the puppy to the environments outside the home and yard? *
Required
Do you understand that the commitment of raising puppy and being an EAC puppy raiser may last more than one year? *
Required
Do you agree to attend 4 meetings a month along with one weekend outing with the service dog puppy? *
Required
Do you agree to return the puppy to EACs when the puppy is called back to EAC? *
Required
How did you hear about EAC?
Questions or Comments
DIGITAL SIGNATURE OF APPLICANT(S):(by typing in your name and submitting this form, you agree to
the terms and conditions set forth in this agreement) *
Date: *
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